{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T12:29:28Z","timestamp":1777811368359,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2001,2,1]],"date-time":"2001-02-01T00:00:00Z","timestamp":980985600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Dent Res"],"published-print":{"date-parts":[[2001,2]]},"abstract":"<jats:p>In the Western world, the policy of de-institutionalization and integration of individuals with mental retardation is generally accepted. We tested the hypothesis that de-institutionalization may lead to changes of habits with a potential to influence oral health. When 57 adults with mental retardation moved from an institution to community-based living, their oral hygiene habits, gingival bleeding, and a three-day food record were registered one month before and 9 and 21 months after the move. Mutans streptococci and lactobacilli in saliva, P. intermedia\/P. nigrescens, P. gingivalis, and A. actinomycetemcomitans in supragingival plaque, and C. albicans on mucous membranes were analyzed. After 21 months of community-based living, fewer persons showed high classes of mutans streptococci, growth of P. intermedia\/P. nigrescens, and high frequency of sucrose intake, and more subjects showed growth of C. albicans. In a short perspective, the indicators of oral diseases suggest an unchanged or lower risk of oral diseases after the de-institutionalization of individuals with moderate or severe mental retardation.<\/jats:p>","DOI":"10.1177\/00220345010800020401","type":"journal-article","created":{"date-parts":[[2009,1,8]],"date-time":"2009-01-08T19:39:42Z","timestamp":1231443582000},"page":"421-426","source":"Crossref","is-referenced-by-count":5,"title":["Move of Adults with Mental Retardation from Institutions to Community-based Living: Changes in the Oral Microbiological Flora"],"prefix":"10.1177","volume":"80","author":[{"given":"P.","family":"Gabre","sequence":"first","affiliation":[{"name":"Samariterhemmet Hospital Dental Clinic, Public Dental Health Services, Dragarbrunnsg 70, S-751 25 Uppsala, Sweden,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Wikstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Oral Microbiology, Faculty of Odontology, Goteborg University, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Martinsson","sequence":"additional","affiliation":[{"name":"Department of Oral Diagnostics, School of Dentistry, Karolinska Institutet, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Gahnberg","sequence":"additional","affiliation":[{"name":"Department of Preventive Dentistry, Public Dental Health Services, Uppsala County Council, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2001,2,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1177\/00220345990780080601"},{"key":"atypb2","first-page":"52","volume":"93","author":"Axell T.","year":"1985","journal-title":"Scand J Dent Res"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.1991.tb00172.x"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1974.45.11.801"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1528-1157.1993.tb02118.x"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.1994.tb01132.x"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.1997.tb00529.x"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1080\/000163599429110"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1080\/000163599428742"},{"key":"atypb10","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1016\/S0002-8223(21)03666-X","volume":"85","author":"Green EM","year":"1985","journal-title":"J Am Diet Assoc"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.1995.tb00479.x"},{"key":"atypb12","first-page":"151","volume":"5","author":"Hinchliffe JE","year":"1988","journal-title":"Community Dent Health"},{"key":"atypb13","doi-asserted-by":"publisher","DOI":"10.1177\/00220345890680030601"},{"key":"atypb14","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.1991.tb00187.x"},{"key":"atypb15","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.1990.tb00069.x"},{"key":"atypb16","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1128\/jcm.9.5.584-588.1979","volume":"9","author":"Kohler B.","year":"1979","journal-title":"J Clin Microbiol"},{"key":"atypb17","volume-title":"Psykiskt utvecklingshammades forstand (thesis; in Swedish)","author":"Kylen G.","year":"1974"},{"key":"atypb18","first-page":"31","volume":"71","author":"Larmas M.","year":"1975","journal-title":"Proc Finn Dent Soc"},{"key":"atypb19","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1016\/S0002-8223(21)00629-5","volume":"92","author":"Mercer KC","year":"1992","journal-title":"JAm Diet Assoc"},{"issue":"144","key":"atypb20","first-page":"245","volume":"51","author":"Moller O","year":"1961","journal-title":"Acta Pathol Microbiol Scand"},{"key":"atypb21","first-page":"1","volume":"74","author":"Moller AJ","year":"1966","journal-title":"Odontol Tidskr"},{"key":"atypb22","unstructured":"Nikiforuk G. (1985). Assessing the dietary practices of patients. In: Understanding dental caries. Prevention. Basel , Switzerland: S. Karger AG, pp. 184-188."},{"key":"atypb23","first-page":"510","volume":"98","author":"Rimmer JH","year":"1994","journal-title":"Am J Ment Retard"},{"key":"atypb24","unstructured":"Samaranayake LP (1990). Host factors and oral candidosis. In: Oral candidosis. Samaranayake LP, MacFarlane TW, editors. Sevenoaks, England: Wright, pp. 66-103."},{"key":"atypb25","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.1992.tb00426.x"},{"key":"atypb26","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.15.4.606-609.1982"},{"key":"atypb27","unstructured":"Slots J., Rams TE ( 1992). Microbiology of periodontal disease. In: Contemporary oral microbiology and immunology. Slots J, Taubman MA, editors. St. Louis: Mosby Year Book, pp. 425-443."},{"key":"atypb28","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.1986.tb00849.x"},{"key":"atypb29","doi-asserted-by":"publisher","DOI":"10.1177\/08959374930070022001"},{"key":"atypb30","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-302X.1988.tb00087.x"},{"key":"atypb31","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-302X.1987.tb00300.x"},{"key":"atypb32","volume-title":"Guidelines for ATC classifications","author":"WHO Collaborating Centre for Drug Statistics Methodology, Nordic Council on Medicines","year":"1990"}],"container-title":["Journal of Dental Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00220345010800020401","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00220345010800020401","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:02:33Z","timestamp":1777496553000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00220345010800020401"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2001,2]]},"references-count":32,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2001,2]]}},"alternative-id":["10.1177\/00220345010800020401"],"URL":"https:\/\/doi.org\/10.1177\/00220345010800020401","relation":{},"ISSN":["0022-0345","1544-0591"],"issn-type":[{"value":"0022-0345","type":"print"},{"value":"1544-0591","type":"electronic"}],"subject":[],"published":{"date-parts":[[2001,2]]}}}